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Referral/Enrollment Coordinator

1 month ago

Charlotte, North Carolina, United States Cabarrus Rowan Community Health Centers Full time
Job Summary

The Referral/Enrollment Coordinator plays a vital role in ensuring seamless coordination of specialty care for patients. This position is responsible for managing referrals from initiation to closure, ensuring timely communication with patients and providers, and facilitating enrollment and application follow-up assistance for Affordable Care Act insurance plans.

Key Responsibilities
  • Coordinate patient referrals to specialty providers, ensuring timely and efficient communication.
  • Assemble and provide clinical information to specialists, adhering to referral guidelines.
  • Communicate with specialty offices to schedule appointments and ensure prior approval requirements are met.
  • Organize and track referrals, maintaining accurate documentation in the electronic health record.
  • Review referral details and expectations with patients, including financial obligations.
  • Act as a resource for patients and providers, addressing questions and concerns related to referrals.
  • Establish and maintain relationships with service providers, ensuring timely and effective referrals.
  • Prioritize referrals, ensuring urgent items are addressed promptly.
  • Collaborate with the outreach team to assist patients with enrollment and follow-up assistance for ACA insurance applications.
  • Participate in quality improvement activities, contributing to monitoring, measuring, and analyzing program goals and services.
Requirements
  • 2 years of related work experience preferred.
  • Knowledge of medical terminology, Microsoft Office, and local insurance carriers and plans.
  • Excellent verbal and written communication skills, with bilingual skills in English and Spanish preferred.
  • Certified Application Counselor certification required within 6 months of hire.
Core Requirements
  1. Patient-Centered Customer Service: Provide empathic comfort to those in distress and share kindness in all interactions.
  2. Caring and Compassion: Recognize and respect the uniqueness of each individual, assuming the best in those we interact with.
  3. Respectful Communication: Communicate openly, honestly, and without judgment, honoring each individual's uniqueness.
  4. Teamwork: Collaborate with a diverse interdisciplinary team to meet common goals.
  5. Accountability: Accept individual and team responsibilities, meeting commitments and taking responsibility for performance and actions.
  6. Customer Safety: Recognize and correct potential hazards to protect ourselves and customers.